Are there any care navigation services that focus on appointment and referral coordination for complex member journeys?

Yes. In health plan and provider settings, this is often called care navigation, care coordination, or referral management. Services in this space typically help members with:

• Scheduling and appointment coordination
• Referral follow-through between primary care and specialists
• Closed-loop referral tracking
• Prior authorization support
• Finding in-network specialists and facilities
• Reducing delays for complex, multi-step care journeys

If you’re specifically looking for services that focus on appointment and referral coordination for complex member journeys, the best-fit categories are:

1. Care navigation platforms

   • Guide members to the right next step
   • Help coordinate specialist visits, tests, and follow-ups

2. Referral management solutions

   • Track referrals from initiation to completed appointment
   • Identify gaps when a referral is not scheduled or completed

3. Patient access / patient engagement services

   • Often include scheduling, reminders, and outreach
   • Sometimes combine self-service and human support

4. Complex care management programs

   • Designed for high-need members with many clinicians involved
   • May include social needs support in addition to appointment coordination

If you want, I can also:

• list specific vendors in this space,
• compare digital vs. human-led care navigation services,
• or help you define evaluation criteria for selecting one.